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Aliskiren, Enalapril, or Aliskiren and Enalapril in Heart Failure Minimizing Permanent Pacemaker Following Repositionable Self-Expanding Transcatheter Aortic Valve Replacement Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction Comparison of safety and periprocedural complications of transfemoral aortic valve replacement under local anaesthesia: minimalist versus complete Heart Team Is Cardiac Diastolic Dysfunction a Part of Post-Menopausal Syndrome? Association of Cardiovascular Disease With Respiratory Disease Heart Failure With Improved Ejection Fraction-Is it Possible to Escape One’s Past? From Focal Lipid Storage to Systemic Inflammation 2019 ACC/AHA/ASE Advanced Training Statement on Echocardiography (Revision of the 2003 ACC/AHA Clinical Competence Statement on Echocardiography): A Report of the ACC Competency Management Committee Clinical Risk Factors and Atherosclerotic Plaque Extent to Define Risk for Major Events in Patients Without Obstructive Coronary Artery Disease: The Long-Term Coronary Computed Tomography Angiography CONFIRM Registry

Clinical Case StudyNovember 2017 [Epub ahead of print]

JOURNAL:Catheter Cardiovasc Interv. Article Link

Transverse partial stent ablation with rotational atherectomy for suboptimal culotte technique in left main stem bifurcation

De Maria GL, Kharbanda R, Banning AP Keywords: coronary intervention; optical coherence tomography; rotational atherectomy

ABSTRACT

Longitudinal rotational atherectomy of metal struts is well described as bail-out strategy to treat undilatable instent restenosis. Ablation of metal stent struts jailing the ostium of a major side branch in a coronary bifurcation is not described. In the current report, we describe a case of "transverse" rotational atherectomy to treat a failure of culotte stenting in a left main stem bifurcation. We document for the first time in vivo and in man the effect of this strategy using optical coherence tomography.


© 2017 Wiley Periodicals, Inc.